Kimberly Jones Psychological Services | |
1942 Broadway Boulder CO 80302-5213 | |
(719) 203-1465 | |
Not Available |
Full Name | Kimberly Jones Psychological Services |
---|---|
Speciality | Psychologist |
Location | 1942 Broadway, Boulder, Colorado |
Authorized Official Name and Position | Kimberly Diane Jones (PSYCHOLOGIST) |
Authorized Official Contact | 7192031465 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kimberly Jones Psychological Services 15215 Chelmsford St Colorado Springs CO 80921-2506 Ph: (617) 953-6816 | Kimberly Jones Psychological Services 1942 Broadway Boulder CO 80302-5213 Ph: (719) 203-1465 |
NPI Number | 1699406298 |
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Provider Enumeration Date | 06/23/2022 |
Last Update Date | 07/11/2022 |
Certification Date | 07/11/2022 |
Medicare PECOS PAC ID | 2668853441 |
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Medicare Enrollment ID | O20220726001033 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699406298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Kimberly D Jones |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1255611752 PECOS PAC ID: 6305060955 Enrollment ID: I20140623000123 |
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